Individual
JEIEL JIM MAGPAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
558 N SEMORAN BLVD, WINTER PARK, FL 32792, ORLANDO, FL 32810-3281
(407) 679-1515
Mailing address
4219 OLD TRAFFORD WAY, ORLANDO, FL 32810-1929
(863) 873-5800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29084
FL
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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